WEDA 2003 Governor's Conference - Printable Registration Form

WEDA 2003 Governor's Conference
Concourse Hotel, Madison, Wisconsin - February 13 - 14, 2003

PRINTABLE REGISTRATION FORM
(Please print and mail with check payable to WEDA.)

NAME___________________________________________________________

TITLE____________________________________________________________

ORGANIZATION___________________________________________________

ADDRESS________________________________________________________

CITY/STATE___________________________________ZIP________________

PHONE_____________________________

FAX_______________________________

E-mail____________________________

WEDA Member __ Yes __ No __ Please send membership information.

Please complete the following information to help us accommodate all participants. Yes, I will attend the:

__ kick-off reception on Feb. 12.
__ luncheon on Feb. 13.
__ reception on Feb. 13.
__ breakfast on Feb. 14.

REGISTRATION FEES
Check payable to WEDA.
__ $175 before Jan. 13
__ $225 after Jan. 14
__ $250 at the Door

Payment Info:
VISA __ M/C __ Check Enclosed __ Please make your check payable to the Wisconsin Economic Development Association (WEDA)

Card # ________________________________________ Expiration _________________

Cardholder _______________________________________________________________

Signature ________________________________________________________________

Mail To:

WEDA
P.O. Box 1230
Madison, WI 53701-1230
Fax: (608) 286-0766 (For Credit Card Registrants Only)

To cancel your registration, send a written request by Feb. 5 to WEDA, P.O. Box 1230, Madison, WI 53701 or fax it to 608-286-0766. A $50 handling fee is not refundable. No refunds will be given after February 5, 2003.
A block of rooms has been set aside at the Concourse Hotel, 1 W. Dayton St., Madison (this block of rooms will be held until Jan. 24). There is a special rate of $90 single / $100 double, plus tax, for the event. Governor’s Club rooms are available for $125 / $135, plus tax. To make a reservation, call 608-257-6000 or 800-356-8293 and identify yourself as a conference participant.
For directions and maps, please visit the Concourse Hotels web site at www.concoursehotel.com or call the hotel at 800-356-8293.

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